BACKGROUND: The aim of the study was to quantify trauma-related mortality in injured adults over 10 years postinjury. METHODS: A population-based matched cohort study used linked administrative data from Manitoba, Canada, to identify an inception cohort (1988-1991) of hospitalized trauma cases (ICD-9-CM 800-959.9) aged 18-64 years (n = 18,210) and a matched noninjured comparison group (n = 18,210). Mortality outcomes were obtained by linking the two cohorts with the Manitoba Population Registry for a period of 10 years postinjury. RESULTS: The adjusted all-cause mortality rate ratio (MRR) was 7.29 (95% CI 4.53-11.74) for the 60 days immediately postinjury. The MRRs ranged between 1.17 and 2.41 for the remainder of the 10 year follow-up period. The index injury was estimated to be responsible for 41% of all recorded deaths in the injured cohort. CONCLUSIONS: Estimates of the total mortality burden, based on the early inpatient period alone, substantially underestimates the true burden from injury.
BACKGROUND: The aim of the study was to quantify trauma-related mortality in injured adults over 10 years postinjury. METHODS: A population-based matched cohort study used linked administrative data from Manitoba, Canada, to identify an inception cohort (1988-1991) of hospitalized trauma cases (ICD-9-CM 800-959.9) aged 18-64 years (n = 18,210) and a matched noninjured comparison group (n = 18,210). Mortality outcomes were obtained by linking the two cohorts with the Manitoba Population Registry for a period of 10 years postinjury. RESULTS: The adjusted all-cause mortality rate ratio (MRR) was 7.29 (95% CI 4.53-11.74) for the 60 days immediately postinjury. The MRRs ranged between 1.17 and 2.41 for the remainder of the 10 year follow-up period. The index injury was estimated to be responsible for 41% of all recorded deaths in the injured cohort. CONCLUSIONS: Estimates of the total mortality burden, based on the early inpatient period alone, substantially underestimates the true burden from injury.
Authors: James F Burke; Jessica L Stulc; Lesli E Skolarus; Erika D Sears; Darin B Zahuranec; Lewis B Morgenstern Journal: Neurology Date: 2013-06-26 Impact factor: 9.910
Authors: Joshua B. Brown; Kenneth J. Smith; Mark L. Gestring; Matthew R. Rosengart; Timothy R. Billiar; Andrew B. Peitzman; Jason L. Sperry; Joel S. Weissman Journal: JAMA Surg Date: 2018-03-01 Impact factor: 14.766
Authors: Craig D Newgard; Zhuo Yang; Daniel Nishijima; K John McConnell; Stacy A Trent; James F Holmes; Mohamud Daya; N Clay Mann; Renee Y Hsia; Tom D Rea; N Ewen Wang; Kristan Staudenmayer; M Kit Delgado Journal: J Am Coll Surg Date: 2016-03-03 Impact factor: 6.113
Authors: M Kit Delgado; Kristan L Staudenmayer; N Ewen Wang; David A Spain; Sharada Weir; Douglas K Owens; Jeremy D Goldhaber-Fiebert Journal: Ann Emerg Med Date: 2013-04-09 Impact factor: 5.721